Annales françaises d'anesthèsie et de rèanimation
-
Ann Fr Anesth Reanim · Dec 2001
Case Reports[Successful endovascular embolization in the vertebral artery after failed surgery in a patient with severe hemorrhagic shock].
Injury of the vertebral artery following penetrating trauma is rare and treatment is usually a surgical double ligation. We report a case of a 19-year old man, suffering from potentially fatal haemorrhage related to a penetrating trauma of the left vertebral artery. After failure of surgery, bleeding has been successfully stopped by endovascular embolization. The patient did not suffer any ischaemic cerebral complication and was discharged from intensive care unit 24 hours later.
-
Ann Fr Anesth Reanim · Dec 2001
Case Reports[Severe metabolic alkalosis following hypokalemia from a paraneoplastic Cushing syndrome].
Metabolic alkalosis is frequently observed in critically ill patients. Etiologies are numerous but endocrinal causes are rare. ⋯ Further explorations revealed an ectopic Adrenocorticotropine Hormone syndrome. The initial tumor was probably a small cell lung carcinoma.
-
Ann Fr Anesth Reanim · Dec 2001
[Factors associated with refusal of organ donation in France from 1996 to 1999].
The demand for organ transplantation exceeds organ donation in France and refusal to organ donation remains close to 30%. This study analysed risk factors associated with refusal of organ donation. ⋯ The risk factors described should be taking into account when family's members are approached for donation. They represent the interactions between the history of the donors, harvesting organisation, and sociocultural factors.
-
Ann Fr Anesth Reanim · Dec 2001
Case Reports[Traumatic rupture of the aortic isthmus revealed by a mesenteric infarct].
The traumatic rupture of the aortic isthmus is one of the worst complication due to high speed motor vehicle accidents. When death is not the immediate consequence of this lesion, the initial clinical signs are not very clear. ⋯ A traumatic aortic rupture was actually diagnosed after the unusual discovery of a mesenteric infarct. In this case report, the mesenteric infarct mechanism can be controversed, and an emphasis should be put on an early aortic lesion diagnosis and repair in order to avoid any ischaemic complications.
-
Ann Fr Anesth Reanim · Dec 2001
Letter Case Reports[A diagnostic exclusion which has to be taken into account!].